Antenatal care and screening Flashcards
Where is pre-pregnancy counselling vital?
for women with any previous health or pregnancy problems
What are some of the main causes for women’s deaths in most common order (6)
heart disease blood clots epilepsy and stroke other physical conditions sepsis MH conditions
What is a red flag for pregnancy ?
severe chest pain - heart disease can occur for the first time
What lifestyle factors increase the chance of heart disease?
older, obese, smoke, diabetes, family history
When is breathlessness not normal in pregnancy?
when lying flat and resting
Women with risk factors for pre-eclampsia need what described?
aspirin from 12 weeks of pregnancy
What general health measures can be advised in pre-pregnancy counselling? (3)
Improve diet
Optimise BMI
Reduce alcohol consumption
pre-pregnancy counselling advice in primary care may include? (3) - give the drug dose if appropriate
Smoking cessation advice
Folic acid -400 mcg
5mg
Up to date cervical smear
Effects of obesity on pregnancy?
miscarriage and still birth
affects the function of the uterus in labour
Being obese in pregnancy may affect the ability to?
measure fundal height to monitor fetal growth and presentation may be impossible on abdominal palpation.
What is common in obese pregnancies?
Venous thromboembolic events
What is alcohol associated with in pregnancy?
fetal abnormalities causing a fetal alcohol syndrome
what are feature of fetal alcohol syndrome?
typical facial appearance and affects learning
Risk assessment for age of an individual - what are the differences at both end of the scale?
Teenagers may be socially deprived with lack of support, smoke more, and not receive the antenatal care they need, often booking late.
Older women, particularly the over 40s, are more prone to pre-existing medical conditions and develop complications of pregnancy such as gestational diabetes and hypertension. Chromosomal disorders increase dramatically with advancing maternal age.
What are some of the risk in pregnancies in older women (3)
gestational diabetes and hypertension
Chromosomal disorders increase
